Application Deadline: NOVEMBER 1 EAST-WEST CENTER GRADUATE DEGREE FELLOWSHIP APPLICATION

Please refer to the application instructions to complete this form and to check for specific requirements in addition to this form. Print or type answers.

1. Type of application:NewReapplying (specify category and year of last application)

________________________________________

2. From the list below, select the scholarships for which you are applying:(Please review application guide for eligibility requirements.)

Graduate Degree Fellowship Asian Development Bank-Japan Scholarship Program Obuchi Student Scholarship

3. Family name, Given name, Middle name(s), Other name(s) 4. UH Student ID # 5. Sex Male Female

6. Complete current or local mailing address including Street and Apt #, City, State/Country, Postal code 7. I will be at this address until:(month/day/year)

8. Complete permanent address including Street and Apt #, City, State/Country, Postal code 9. If not U.S. citizen but currentlyin U.S. indicate visa status:

J F Other _________

10. Birthdate (month/day/year) 11. Birthplace (city/state/country) 12. Country of citizenship 13. Country of permanent residence

14. For U.S. citizens, yourhome state:

15. Office phone #Home phone #Cell phone # FAX#

16. E-mail address:

17. Have you received a scholarship administered by the EWCbefore? If so, when and what type?

18. Have you participated in a program at the EWC? If you have,specify dates and program.

19. List in order of your attendance all colleges/universities in which you have enrolled. Include the one in which you are currentlyenrolled, if any. Begin with the most recent institution. Please do not write in the far left column.

Name of institution Location (City, State or Country)

Date From To MM/YY MM/YY

Major Degree earned or expected (BA, MS)

Date received or expected MM/YY

20. I am presently enrolled as a: classified (degree-seeking) student at ____________________________________________________________ unclassified student at ________________________________________________________________________

I am presently employed as a:_______________________________________ at ____________________________________________________

21. LETTERS OF REFERENCE Please do not write in the far left column. Name Title and name of organization

22. TEST/EXAMINATION REQUIRED (see instructions)

date taken sent to TOEFL _________ _________ IELTS _________ _________ GRE General _________ _________ GRE Subject _________ _________ GMAT _________ _________

23. List other institutions to which you are applying:

******************************************************PLEASE DO NOT WRITE BELOW THIS LINE************************************************* GRE General UH App UH App V = % Q = % AW = % UH Dept App GRE Subject Confidential Financial Statement TOEFL Residency Declaration Form IELTS Writing Sample GMAT Cover CV Essay 1 2 3 4 ADB-JSP Obuchi State UH App Fee

FAXED OR EMAILED COPIES NOT ACCEPTED

Revised July 2016

24. I wish to pursue a degree in the field of study of at the University of Hawai‘i.

25. Consideration for independent UH Admission Do you plan to attend the University of Hawai‘i in the event that you donot receive an East-West Center fellowship? Your response will not affect your fellowship application; it only informs ushow to submit your UH application for processing. If yes, see instructions for information on how to submit application fee.

Yes No

26. List the countries in which you have traveled or resided (indicate places and dates).

27. List the languages you have studied and indicate proficiency level for each (basic – fluent).

28. List the titles of publications you have authored (indicate subject, date, and place).

29. List the scholarships, fellowships, or grants you have received.

30. List other scholarships and fellowships for which you are applying.

31. How did you learn about East-West Center Fellowship(s)? Check all that apply:

Newspaper or magazine EWC staff (name: ) Scholarship database Professor (name: ) Internet search Current or former EWC fellow (name: ) EWC web site EWC information session (location: ) Educational advising office Graduate department/university (name: )

Poster Conference (name: ) Facebook ADB or Obuchi representative (name: ) LinkedIn Other: (please explain: )

NOTE: Review the instructions for other required supporting documents that must be included to complete your application. ________________________________________________________________________________________________

APPLICANT'S CERTIFICATION I hereby certify that the information I have given on this application is complete and correct to the best of my knowledge, and that I have attended no institution other than those listed on this application. I understand that the concealment of such information may result in the rejection of my application or disciplinary action if discovered after enrollment. I understand that it is my responsibility to arrange for the forwarding of official transcripts of records from all schools specified in the instruction booklet, and that such transcripts and other application materials become the property of the East-West Center and will not be returned to me. Further, I authorize access to and if necessary, release of my educational records of any academic work done at the University of Hawai`i as part of my department’s evaluation of my application for an East-West Center fellowship.

(Please be sure that photo copies of your application/documents needed for your own personal use are made BEFORE submitting them to the East-West Center.) The East-West Center WILL NOT make photo copies of any materials submitted as part of your application.

Date __________________________ Signature of Applicant ___________________________________________

Instructions for completing the enclosed Letter of Reference Form

To the applicant

• Please complete the top portion of the Letter of Reference form to include the name andcontact information of the individual who will be writing this recommendation as well asyour name so that we know who this form belongs to.

• Indicate whether you waive or do not waive your right to see this recommendation. If you donot waive your right to see this letter, this letter may be disclosed to you only after thecompetition has completed. If you do not indicate any choice to waive or not waive yourright, you will not be allowed to see your letter.

• Please be sure to sign the form where noted before giving it to the referee.

• Give this instruction sheet and reference letter form to your referee. If you choose to emailthis form to your referee, please send a scanned copy that contains all of the requiredinformation at the top half of the form including your handwritten signature.

• Non English reference letters must not be translated by the applicant. Please instruct yourreferee to have the person translating their comments include their name, occupational title,and contact information. The original non English document should be included with thetranslation.

To the Recommender

• You have been asked to provide a letter of reference that will assist the East-West Center scholarship selection committee in validating this applicant’s qualifications for the East-West Center Graduate Degree Fellowship Program. Please complete both pages of the form or respond to the questions on separate stationery, provide a handwritten signature, and affix your business card where indicated. Additional comments may be provided on separate stationery. Return your reference form directly to the East-West Center at the following address:

Award Services/Graduate Degree Fellowship East-West Center 1601 East-West Road, Room 2066 Honolulu, Hawai‘i 96848-1601 USA

• If the applicant prefers to collect your letter so that it can be included with their application,please provide it in a sealed envelope with your signature across the flap.

• We would like to receive your reference letter by November 10 so that it will be available during the Center’s preliminary selection process, but we will not penalize an applicant if your letter does not arrive on time. To ensure that we receive your letter, you may email preferably a scanned pdf copy of your letter to scholarships@eastwestcenter.org while the original copy is en route to the East-West Center.

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Letters must be received by November 10

The applicant noted in the box below is applying for an East-West Center fellowship and has asked that you provide a letter of reference. We appreciate your time and effort in supplying this additional background information. This letter of reference will be considered as part of the application for an East-West Center fellowship only. The East-West Center strengthens understanding and relations between the peoples of the United States, Asia, and the Pacific through cooperative study, training, and research. The East-West Center is not a degree granting institution, but works in partnership with the University of Hawai‘i. The East-West Center Fellowship provides substantial funding for Master’s and Doctoral graduate students to participate in educational and research programs at the East-West Center while pursuing graduate study at the University of Hawai‘i. Please return this letter of reference directly to the Award Services Office, Attention: EWC Graduate Degree Fellowship, East-West Center, 1601 East-West Road, Honolulu, Hawai‘i, 96848-1601, USA. Reference letters can be emailed to scholarships@eastwestcenter.org ahead of the original to meet the deadline. Thank you for your assistance.

Name and Title of Person Writing Recommendation (please type or print)

Address

Name of Applicant (please type or print)

Applicant's special area of academic and research interest

TO THE APPLICANT: Confidentiality of Participant Records Under East-West Center policy, this letter may be viewed by you unless you waive your right to see it or the person writing this letter wishes it to be held in confidence (#9). In the event you do not waive your right to see this letter but the referee indicates in item #9 that he/she wishes the letter to be held in confidence, the referee's preference will take precedence.

I waive my right to see this letter of reference

I do not waive my right to see this letter of reference

________________________________________________________ _______________________ Signature of Applicant Date

LETTER OF REFERENCE Please respond to the questions below. Additional comments may be provided on separate letterhead.

1. How long have you known the applicant? ______________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

2. How well and in what capacity do you know the applicant? ______________________________________________________________________________

____________________________________________________________________________________________________________________________________

3. Please rate the applicant in terms of each of the following:

Exc

eptio

nal

Wel

l Abo

ve A

vera

ge

Abo

ve A

v era

ge

Ave

rage

Bel

ow A

vera

ge

Una

ble

to J

udge

Leadership Initiative

Creativity English language ease (if not native speaker of English)

Adaptability Career potential

Intelligence Readiness for advanced work

Self-expression Ability to pursue independent study Ability to cope with personal crises

Capacity for change Motivation to pursue international education

Cross-cultural knowledge & experience Cross-cultural sensitivity

4. Of similar applicants for advanced work you have known, how does this applicant rank on a 1-10 scale (10 highest, 1 lowest, 5 average) ?

5. What are the applicant's special academic/professional strengths and weaknesses?

6. What has been individual's greatest achievement (academic, personal, community)?

7. Please provide any additional comments that you deem relevant regarding the applicant.

8. Do you recommend the applicant for an East-West Center fellowship to pursue advanced study and participate in cross-cultural community building?

Recommend highly Do not recommend

Recommend Insufficient basis for making recommendation

Recommend with reservations

9. Please check one:

I have no objection to disclosing this letter of reference to the applicant if he/she requests (Request to see this letter will be accommodated only after the close of the competition.)

I do not want this letter of reference to be disclosed to the applicant.

Reference Writer: Please affix your business card here:

Signature ___________________________________________________________ Date ____________________________________

Print name

Email address ____________________________________________

_______________________________________________________ ___

7/16

Instructions for completing the enclosed Letter of Reference Form

To the applicant

• Please complete the top portion of the Letter of Reference form to include the name andcontact information of the individual who will be writing this recommendation as well asyour name so that we know who this form belongs to.

• Indicate whether you waive or do not waive your right to see this recommendation. If you donot waive your right to see this letter, this letter may be disclosed to you only after thecompetition has completed. If you do not indicate any choice to waive or not waive yourright, you will not be allowed to see your letter.

• Please be sure to sign the form where noted before giving it to the referee.

• Give this instruction sheet and reference letter form to your referee. If you choose to emailthis form to your referee, please send a scanned copy that contains all of the requiredinformation at the top half of the form including your handwritten signature.

• Non English reference letters must not be translated by the applicant. Please instruct yourreferee to have the person translating their comments include their name, occupational title,and contact information. The original non English document should be included with thetranslation.

To the Recommender

• You have been asked to provide a letter of reference that will assist the East-West Center scholarship selection committee in validating this applicant’s qualifications for the East-West Center Graduate Degree Fellowship Program. Please complete both pages of the form or respond to the questions on separate stationery, provide a handwritten signature, and affix your business card where indicated. Additional comments may be provided on separate stationery. Return your reference form directly to the East-West Center at the following address:

Award Services/Graduate Degree Fellowship East-West Center 1601 East-West Road, Room 2066 Honolulu, Hawai‘i 96848-1601 USA

• If the applicant prefers to collect your letter so that it can be included with their application,please provide it in a sealed envelope with your signature across the flap.

• We would like to receive your reference letter by November 10 so that it will be available during the Center’s preliminary selection process, but we will not penalize an applicant if your letter does not arrive on time. To ensure that we receive your letter, you may email preferably a scanned pdf copy of your letter to scholarships@eastwestcenter.org while the original copy is en route to the East-West Center.

Page intentionally blank

Letters must be received by November 10

The applicant noted in the box below is applying for an East-West Center fellowship and has asked that you provide a letter of reference. We appreciate your time and effort in supplying this additional background information. This letter of reference will be considered as part of the application for an East-West Center fellowship only. The East-West Center strengthens understanding and relations between the peoples of the United States, Asia, and the Pacific through cooperative study, training, and research. The East-West Center is not a degree granting institution, but works in partnership with the University of Hawai‘i. The East-West Center Fellowship provides substantial funding for Master’s and Doctoral graduate students to participate in educational and research programs at the East-West Center while pursuing graduate study at the University of Hawai‘i. Please return this letter of reference directly to the Award Services Office, Attention: EWC Graduate Degree Fellowship, East-West Center, 1601 East-West Road, Honolulu, Hawai‘i, 96848-1601, USA. Reference letters can be emailed to scholarships@eastwestcenter.org ahead of the original to meet the deadline. Thank you for your assistance.

Name and Title of Person Writing Recommendation (please type or print)

Address

Name of Applicant (please type or print)

Applicant's special area of academic and research interest

TO THE APPLICANT: Confidentiality of Participant Records Under East-West Center policy, this letter may be viewed by you unless you waive your right to see it or the person writing this letter wishes it to be held in confidence (#9). In the event you do not waive your right to see this letter but the referee indicates in item #9 that he/she wishes the letter to be held in confidence, the referee's preference will take precedence.

I waive my right to see this letter of reference

I do not waive my right to see this letter of reference

________________________________________________________ _______________________ Signature of Applicant Date

LETTER OF REFERENCE Please respond to the questions below. Additional comments may be provided on separate letterhead.

1. How long have you known the applicant? ______________________________________________________________________________________________

____________________________________________________________________________________________________________________________________

2. How well and in what capacity do you know the applicant? ______________________________________________________________________________

____________________________________________________________________________________________________________________________________

3. Please rate the applicant in terms of each of the following:

Exc

eptio

nal

Wel

l Abo

ve A

vera

ge

Abo

ve A

v era

ge

Ave

rage

Bel

ow A

vera

ge

Una

ble

to J

udge

Leadership Initiative

Creativity English language ease (if not native speaker of English)

Adaptability Career potential

Intelligence Readiness for advanced work

Self-expression Ability to pursue independent study Ability to cope with personal crises

Capacity for change Motivation to pursue international education

Cross-cultural knowledge & experience Cross-cultural sensitivity

4. Of similar applicants for advanced work you have known, how does this applicant rank on a 1-10 scale (10 highest, 1 lowest, 5 average) ?

5. What are the applicant's special academic/professional strengths and weaknesses?

6. What has been individual's greatest achievement (academic, personal, community)?

7. Please provide any additional comments that you deem relevant regarding the applicant.

8. Do you recommend the applicant for an East-West Center fellowship to pursue advanced study and participate in cross-cultural community building?

Recommend highly Do not recommend

Recommend Insufficient basis for making recommendation

Recommend with reservations

9. Please check one:

I have no objection to disclosing this letter of reference to the applicant if he/she requests (Request to see this letter will be accommodated only after the close of the competition.)

I do not want this letter of reference to be disclosed to the applicant.

Reference Writer: Please affix your business card here:

Signature ___________________________________________________________ Date ____________________________________

Print name

Email address ____________________________________________

_______________________________________________________ ___

7/16

Instructions for completing the enclosed Letter of Reference Form

To the applicant

• Please complete the top portion of the Letter of Reference form to include the name andcontact information of the individual who will be writing this recommendation as well asyour name so that we know who this form belongs to.

• Indicate whether you waive or do not waive your right to see this recommendation. If you donot waive your right to see this letter, this letter may be disclosed to you only after thecompetition has completed. If you do not indicate any choice to waive or not waive yourright, you will not be allowed to see your letter.

• Please be sure to sign the form where noted before giving it to the referee.

• Give this instruction sheet and reference letter form to your referee. If you choose to emailthis form to your referee, please send a scanned copy that contains all of the requiredinformation at the top half of the form including your handwritten signature.

• Non English reference letters must not be translated by the applicant. Please instruct yourreferee to have the person translating their comments include their name, occupational title,and contact information. The original non English document should be included with thetranslation.

To the Recommender

• You have been asked to provide a letter of reference that will assist the East-West Center scholarship selection committee in validating this applicant’s qualifications for the East-West Center Graduate Degree Fellowship Program. Please complete both pages of the form or respond to the questions on separate stationery, provide a handwritten signature, and affix your business card where indicated. Additional comments may be provided on separate stationery. Return your reference form directly to the East-West Center at the following address:

Award Services/Graduate Degree Fellowship East-West Center 1601 East-West Road, Room 2066 Honolulu, Hawai‘i 96848-1601 USA

• If the applicant prefers to collect your letter so that it can be included with their application,please provide it in a sealed envelope with your signature across the flap.

• We would like to receive your reference letter by November 10 so that it will be available during the Center’s preliminary selection process, but we will not penalize an applicant if your letter does not arrive on time. To ensure that we receive your letter, you may email preferably a scanned pdf copy of your letter to scholarships@eastwestcenter.org while the original copy is en route to the East-West Center.

Page intentionally blank

Letters must be received by November 10 The applicant noted in the box below is applying for an East-West Center fellowship and has asked that you provide a letter of reference. We appreciate your time and effort in supplying this additional background information. This letter of reference will be considered as part of the application for an East-West Center fellowship only. The East-West Center strengthens understanding and relations between the peoples of the United States, Asia, and the Pacific through cooperative study, training, and research. The East-West Center is not a degree granting institution, but works in partnership with the University of Hawai‘i. The East-West Center Fellowship provides substantial funding for Master’s and Doctoral graduate students to participate in educational and research programs at the East-West Center while pursuing graduate study at the University of Hawai‘i. Please return this letter of reference directly to the Award Services Office, Attention: EWC Graduate Degree Fellowship, East-West Center, 1601 East-West Road, Honolulu, Hawaii, 96848-1601, USA. Reference letters can be emailed to scholarships@eastwestcenter.org ahead of the original to meet the deadline. Thank you for your assistance.

Name and Title of Person Writing Recommendation (please type or print)

Address

Name of Applicant (please type or print)

Applicant's special area of academic and research interest

TO THE APPLICANT: Confidentiality of Participant Records Under East-West Center policy, this letter may be viewed by you unless you waive your right to see it or the person writing this letter wishes it to be held in confidence (#9). In the event you do not waive your right to see this letter but the referee indicates in item #9 that he/she wishes the letter to be held in confidence, the referee's preference will take precedence.

I waive my right to see this letter of reference

I do not waive my right to see this letter of reference

________________________________________________________ _______________________ Signature of Applicant Date

LETTER OF REFERENCE - CIVIC ENGAGEMENT(e.g., volunteer community service and leadership, extracurricular activities, community building)

Please respond to the questions below. Additional comments may be provided on separate letterhead.

1. How long have you known the applicant? _______________________________________________________________________________________

__________________________________________________________________________________________________________________________

2. How well and in what capacity do you know the applicant? ________________________________________________________________________

__________________________________________________________________________________________________________________________

3. Please rate the applicant in terms of each of the following:

Exc

eptio

nal

Wel

l Abo

ve A

vera

ge

Abo

ve A

vera

ge

Ave

rage

Bel

ow A

vera

ge

Una

ble

to J

udge

Leadership Initiative

Creativity Consideration/concern/care for others

Adaptability Ability to help others with crises

Intelligence Self-expression

Ability to cope with personal crises Capacity for change

Cross-cultural knowledge & experience

4. Of similar applicants you have known, how does this applicant rank on a 1-10 scale (10 highest, 1 lowest, 5 average) in the area of cross-culturalcommunity building?

5. What are the applicant's special strengths and weaknesses?

6. What has been individual's greatest achievement (academic, personal, community)?

7. Please provide additional comments that you deem relevant regarding the applicant’s civic engagement such as volunteer community service andleadership, extracurricular activities and/or other ways the applicant has participated in the life of her/his community in order to improve conditions for othersor to help shape the community's future.

8. Do you recommend the applicant for an East-West Center fellowship to pursue advanced study and participate in cross-cultural community building?

Recommend highly Do not recommend

Recommend Insufficient basis for making recommendation

Recommend with reservations

9. Please check one:

I have no objection to disclosing this letter of reference to the applicant if he/she requests (Request to see this letter will be accommodated only after the close of the competition.)

I do not want this letter of reference to be disclosed to the applicant.

Reference Writer: Please affix your business card here:

Signature ___________________________________________________________ Date ____________________________________

Print name

Email address __________________________________________________________7/16

Complete this form electronically and e-mail it to scholarships@EastWestCenter.org by March 1.

VERIFICATION OF FUNDS FOR EXPENSES BEYOND THE PROVISIONS OF THE SCHOLARSHIP

The East-West Center Graduate Degree Fellowship provides substantial funding for educational costs and living expenses toward master’s and doctoral degree studies, as noted in Column A of the table below.

Applicants need to prepare for additional living expenses for food and other personal expenses beyond the scholarship, estimated at $400 US per month, or $4,800 per year. In addition, applicants need to budget for round-trip airfare.

The Center strongly encourages applicants to seek financial support from other institutions, funding agencies or personal funds well in advance, to prepare to cover the flight and estimated additional costs. Employment for East-West Center Graduate Degree Fellows is allowed when authorized by the Center. For international fellows, the nature of the employment must meet J-1 visa requirements. To provide time to explore supplemental funding opportunities, this form can be completed electronically and e-mailed to scholarships@EastWestCenter.org by March 1.

Instructions To indicate your budget and resources for the estimated expenses beyond the fellowship for the first year of study, please complete columns B, C, and D in the table below in US Dollars where “$” is noted. Also, please complete the back of this form.

A B C DItem 1 EWC Graduate Degree

Fellowship Amount Covered by Personal or Family Funds

Amount Covered by Other

Funding Sources

Amount not yet covered

Tuition and Fees

Tuition 2 Covered up to the equivalent of the regular graduate tuition

charged for post-baccalaureate students at UH

Fees required by University of Hawai‘i

Covered up to the equivalent of the fees charged for post-baccalaureate students at UH

Living Expenses

Housing in EWC residence hall based on single occupancy Covered

Stipend to partially cover food and incidental expenses $200/per month

Estimated additional living expenses of $400/month or $4,800/year Not covered $ $ $

Books and Materials

Book allowance $660/per year

Health Insurance

Health Insurance Subsidy

Travel Expenses

SEVIS fee for international fellows

Covered

Visa fee for international fellows (see note below)

3 Not covered $ $ $

Airfare (to/from Honolulu) Not covered $ $ $

Totals for columns B, C, D

$Column B Total

$ Column C Total

$ Column D Total

1 All amounts are subject to change, pending funding availability. 2 Tuition Note: Applicants to professional programs such as JD, LLM, MBA and Architecture should be aware that this fellowship does not cover the full tuition or professional fees. 3 Visa Fee Note: All international fellows are required to pay for the visa application (Machine Readable Visa--MRV) fee of $160. Citizens of some countries are required to pay a visa issuance (reciprocity) fee. Check the following site for details on visa costs related to your country: http://travel.state.gov/visa/reciprocity/index.htm

NAME:_______________________________________

Complete this form electronically and e-mail it to scholarships@East-WestCenter.org by March 1.

Instructions If you indicated in column D that you do not have resources yet to cover certain anticipated costs, please provide further explanation below so that we have a clear understanding of your situation. If you need additional space, please attach a separate sheet.

Note: If you are applying for study in a program that charges a tuition higher than the rate charged for post-baccalaureate students—for example, the Juris Doctor (JD) program or one of the Shidler College of Business Programs—please indicate below your additional resources or need for the portion of tuition not covered by the fellowship. Contact scholarships@eastwestcenter.org to inquire about the balance of tuition due, if any.

Please indicate if you are currently applying to any other agency/foundation/government for funds to cover the estimated additional expenses, and when you expect to be notified of the results.

Explain why you would need additional East-West Center support.

If you have been offered a Graduate Assistantship at the University of Hawai‘i at Mānoa (UHM), please inform us below as it may determine how your insurance and tuition are covered in the agreement between the UHM and EWC. Thank you.

I hereby certify that the information I have provided on this form is complete and correct to the best of my knowledge. I also understand that if selected for an East-West Center Graduate Degree Fellowship I will be expected to certify sufficient funds for additional living expenses beyond the scholarship for the first year of study.

Print name: ___________________________________________________ Date: ____________________________

Signature: ____________________________________________________ Citizenship: _______________________

Address: _____________________________________________________ Email: ___________________________

Telephone: ____________________ Mobile Tel: ___________________ Fax: ____________________________

7/16